Provider Demographics
NPI:1013918770
Name:BROWN, LYNN A (MD)
Entity Type:Individual
Prefix:DR
First Name:LYNN
Middle Name:A
Last Name:BROWN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5600 ELDORADO PKWY
Mailing Address - Street 2:TEXAS HEALTH EMERGENCY ROOM
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75033-3207
Mailing Address - Country:US
Mailing Address - Phone:509-981-1323
Mailing Address - Fax:
Practice Address - Street 1:5600 ELDORADO PKWY
Practice Address - Street 2:TEXAS HEALTH EMERGENCY ROOM
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75033-3207
Practice Address - Country:US
Practice Address - Phone:509-981-1323
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-03
Last Update Date:2016-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ6356207P00000X
WAMD00047350207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100270030CMedicaid
MO23280057OtherBLUECROSS BLUE SHIELD MO
KSG24479Medicare UPIN
KSR979527Medicare ID - Type Unspecified